Early sign of MH - Answers Tachycardia
Signs of MH - Answers HR increase 120;
require increase 02;
purple splotches;
tight jaws
Other conditions that have similar reaction to MH - Answers Allergy to bone cement
PE
Allergy to anesthesia
Blood Transfusion reaction steps - Answers 1st- STOP transfusion
Replace tubing with 0.9% NACL
Report to surgeon and blood bank
Anticipate orders for emergency drugs
Signs of reaction to blood transfusion - Answers Blood in urine
Urine output decrease
Hypotension
Hyperthermia
Excessive or unusual bleeding
IVS ready for discharge - Answers stay awake for 20 minutes without stimulation
MH crisis patient observed - Answers 36 hours post op
Local Anesthesia toxicity
initial and increased - Answers initial- hypertension
increased-hypotension
Local Anesthesia hypersensitivity - Answers tachycardia
, Laser Safety- OR fire - Answers Communicate
Pour saline slowly on patient
Remove drapes
Consult with anesthesia
Remove airway circuit
Turn off O2
Remove ET tube
Pour saline in airway
Re establish airway
Prevent Laser OR fire - Answers Gel coat facial hair
ET tube filled with Saline and Dye
Non reflective instruments
ESU rubber coated
Do not TENT drapes
OR room Temperatures Pediatric - Answers Infants 80-85
Older children 75-80
Pediatric intubation - Answers straight laryngoscopes
Uncuffed to 8 years
Suction lumens 5-10 french
ET tube 5.0mm
Blocks 4 of them - Answers Retrograde-extremity
Pudendal-gynecology
Intercostal- thoracic
Field- hernia
Insufflation initial flow and pressure - Answers 9L at 14-16 mm Hg